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August 19, 1968

Control of Bleeding During Surgery on Vascular Tumors of the Head

Author Affiliations

From the University of Southern California (Dr. von Leden); the University of California, Los Angeles (Dr. Wilson); and California College of Medicine, University of California, Irvine (Dr. Turnbull).

JAMA. 1968;205(8):563-566. doi:10.1001/jama.1968.03140340033007

Selective angiography has confirmed the importance of preserving the external carotid system in the treatment of vascular tumors of the head. Temporary occlusion of the external carotid artery provides satisfactory control of bleeding during surgical procedures, without affecting the future blood supply. On the other hand, permanent ligation of the external carotid artery usually results in the development of a rich collateral circulation from the internal carotid and vertebral systems, and complicates the control of bleeding during subsequent operations.